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Home My WebLink About02-0880 ;/ Jj-pJUJ 0/ C~d?~.1:W-14n6 I{') l~d .- '1U.uJ .':lv: ctr/U -JL"-'Ul~ ,JU 'PETITION FOR GRANT OF LETTERS :--.J2::\:'h::.r,-,c") ! Cc'..Jn" 3- 3-()3 "'-1._(.., 'J-.I. /'l.."'0-l-,-J Estate of Nicholas F. Rauber No. 21-02-880 also known as , Deceased Social Security No. 056460429 Petitioner, Evelyn P. Rauber, Petitioner(s), who is/are 18 years of age or older, apply)ies) for (COMPLETE "A" OR "B" BELOW:) o A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut Decedent, dated and codicil(s) dated named in the Last Will of the State relevant circumstances, e.g., renunciation, death of executor, etc Except as follows, Decedent did not marry, was not divorced and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incapacitated: GJ B. Grant of Letters of Administration (c,l.a" d,b,nct.a.: pendente lite. durante absentia: durante minorilale) Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse (if any) and heirs: . I Name Relationship Residence I Evelvn P. Rauber snouse 241 3 Square Hollow Newburq. Pa (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania. with his/her last family or principal residence at 241 Three Square Hollow Road, Newburq, Hopewell Township, Pennsylvania 17240 (list street, number and municipality) Decedent, then 47 years of age, died September 19 ,2002, at Three Square Hollow Road, Newburq, Pa.17240 (Location) Decedent at death owned property with estimated values as follows: (if domiciled in PA All personal property. (if not domiciled in PA Personal property in Pennsylvania. (if not domiciled in PA Personal property in County, Value of real estate in Pennsylvania. Total $ $ $ $ $ 5,00000 Real Estate situated as follows: None Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned" 5,000.00 I Signature Typed or printed name and residence I /~m ) / (j) {) J, ~ Evelvn P. Rauber RW_1 1"/-9/-6 Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to and affirmed and subs~ribed tAM iT fJ 1< (1...l)MA/ Ev,,-i---YN P RfiiJ-b"", before me this OCTOBER S~.2002 /1..,/>>&" /7) /J/-//, /A..t /~ ~/~/~ 1st _ day of Estate of Nicholas F. Rauber DeGeased ~~~~~~.:r No. 21-02-880 DECREE OF REGISTER also known as Social Security No: 056460429 Date of Death: 9/19/02 AND NOW l51!j\~ OCTOBER 1st 2002 , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters 0 Testamentary 1&1 of Administration ((c.t.a" d.b.n,c,l.; pendente lite; durante absentia; durante minoriate) are hereby granted to Evelyn P. Rauber in the above estate and that the instrument(s). if any, dated described in the Petition be admitted to probate and filed of record as the Last Will of Decedent. FEES Letters $ 25.00 ';/~Q/ 7/J (]v/J_.!k2-C ,( ~/.>dY ReglHer of Wills Short Certificates(s) 6.00 /-,L<<-/h,(''''/~ Extra Pages ( ) $ $ $ $ $ $ $ $ Renunciation I.T.R Signature JCP Fee. 5.00 Attorney: H. Anthony Adams I.D. No: 25502 Address: 49 West Oranqe Street, Suite 3 Shippensburq Inventory Other. Pa 17257 TOTAL .....$ 36.00 Telephone: 717-532-3270 DATE FILED: /D-/,)/-~'J-/70~-;/ - REVOCATION OF LETTERS IN RE: NICHOLAS F. RAUBER DECEASED REGISTER OF WILLS CUMBERLAND COUNTY PENNSYL VANIA ESTATE NO: 21-02-0880 ORDER OF THE REGISTER OF WILLS TO REVOKE LETTERS OF ADMINISTRATION AND NOW, this 3" day of March 2003, I, Donna M. Otto, 1;t Deputy, Register of Wills in and for the County of Cumberland, do hereby revoke Letters of Administration issued to Evelyn P. Rauber on October 1 ",2002. The said, Evelyn P. Rauber died on January 04, 2003. New letters of Administration D.B.N. are hereby issued to Pellllelope Sommerville, sister, with all brothers And sisters renouncing in favor of Pennelope Sommerville ~,~;,(Bg M%1 Register of Wills Cumberland County Courthouse Carlisle, P A 17013 Register of Wills of Dauphin County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Nicholas F. Rauber No. ~I- Cb2 - <;?gO also known as , Deceased Social Security No. 056460429 ~~ Petitioner, ~ tV \ Petitioner(s), who is/are 18 years of age or older, apply(ies) for' Sc" ( (COMPLETE "A" OR "B" BELOW:) o A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut Decedent, dated and codicil(s) dated named in the Last Will of the State relevant circumstances, eg., renunciation, death of executor, elc Except as follows, Decedent did not marry, was not divorced and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incapacitated: GJ B. Grant of Letters of Administration d.b.n. (c,t.a., d.b.n.C.t.a.: pendente lite, durante absentia: durante minoritate) Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence brother brother brother sister sister 30 Air ort Road, Shi 323 Firehouse Road,Shi ensbur ,PA P.O. Box 386,Shermansdale, PA 126 W. Burd Street,Shi ensbur ,PA 5349 St Samuels Rd,New ort, PA (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence at 241 Three Square Hollow Road, Newburq, Hopewell Township, Pennsylvania 17240 (list street, number and municipality) Decedent, then 47 years of age, died September 19 ,2002, at Three Square Hollow Road, Newburq, Pa.17240 (Location) Decedent at death owned property with estimated values as follows: (if domiciled in PAl All personal property" (if not domiciled in PAl Personal property in Pennsylvania" (If not domiciled in PAl Personal property in County" Value of real estate in Pennsylvania" Total" $ $ $ $ $ 5,000.00 Real Estate situated as follows: 5,000.00 Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned" Signature ~~ Pe~elo Typed or printed name and residence e Sommerville 'CL~' \ - -(0 RW-7" ."" , \1-\~,\~1\) Oath of Personal Representative 21-02-880 Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to and affirmed and subscribed before me this ., , '-. day of V" ,<(2~-'-If~~;.A>>~ +,7:, A./J7 J ,/ '. ,', y Y!-u/> .' - .' i l "f' \ . /{ If ti; /'" ' .'. /[ / 40"-'" IV 'lIl .0' iJ>," 51" i (' (l DECREE OF REGISTER , Estate of Nicholas F. Rauber Deceased No. 21-02-0880 also known as Social Security No 056460429 Date of Death: 9/19/02 AND NOW, MARCH 3. 200 3 _ , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters 0 Testamentary Q\l of Administration D.R.N. (cia, d,b,n,ct: pendente lite; durante absentia; durante minorilate) are hereby granted to' PENNELOPE SOMMERVILLE in the above estate and that the instrument(s), if any, dated described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES '1/:;' // . 1', ..Vj _'_ ~);)I i'/i/ll 11 (tJ ,.' / (f.,./;/::; /.. : /, /; 'f1e4lstt"frofWI(ls ~-:/J( ,~,. ../ , { .. it-:- I /--" Letters, $ 25.00 $ 18.00 $ 10 00 $ $ $ $ $ $ Short Certificate(s) ..P.. Renunciation .............2.. Affidavit ( ) . Extra Pages ( ).. Codicil JCP Fee. Attorney: H, Anthony Adams I.D, No: Address: 49 West Oran~e Street, Suite 3 Shippensbur~ Telephone: 717-532-3270 DATE FILED ~CH.-3rd MARCH 7, 2003 Inventory & Tax Forms. Other. Pa 17257 TOTAL ...........$ 53.00 RW.7A LETTERS GIVEN TO H. ANTHONY ADAMS, ?001 Continuation of Petition for Grant of Letters Nicholas F. Rauber 21-02-0880 Page 1 List of Surviving Spouse and Heirs Name Relationship Residence Garth Rauber brother 10 Center Court York Haven PA RENUNCIATION Estate of Nicholas F. Rauber No. 2l-07-RRO also known as , Deceased tI <\1\ The undersigned, PC:I,e:lsf,3Q...Selllllle, v;llc -Si&lef (Relationship) (Capacity) of the above Decedent, hereby renounce(s) the right to administer the ""state and respectfully request(s) that ;!~~ Letters d.b.n. be issued to Perrelope Sommerville Witness ~ hand this / ..s~ day of 'k~ rUNt, d:X),~ V L~ /YJ 1 ~uce} Cathy Moyer 5349 SI. Samuels Road, Newport PA (Address) .0-~ 9 (J2~~(S;~ Garth Rauber 10 Center Court, York Haven PA (Address) (Signature) (Address) Sworn to or affirmed and subscribed before me this day of Notary Public My Commission Expires: (Signature and seal of Notal)' or other official qualified to administer oaths. Show date of expiration of Notary's commission,) NOTE: Renunciations executed outside the Office of Register of Wills are required in some counties to be notarized. RW-3 - RENUNCIATION Estate of Nicholas F. Rauber No 21-02-880 also known as , Deceased ~.J:".~ The undersignecl;P"~'iIQ~~ S9r:lll+lewille !-It\+- -sister (Relationship) of (Capacity) the above Decedent, hereby renounce(s) the right to administe~th~tate and respectfully request(s) that Letters d.b.n. be issued to Penelope Sommerville Witness l]\l[ hand this K{.\," ,~t RaY~~, ~qo3 . (Signature) Jack Rauber 30 Airport Road, Shippensbur~ (Address) \~,rD~~c~" ~ ( \ (Signature) JoM Rauber 323 Firehouse Road, Shippensbur~ ~ (Address) ./1 / ~ / I Y/? I/~ "7~/./():;.. ~ "{ '7 (Signature) Ra)lrilond Rauber P.O Box 386, Shermansdale (Address) PA 17257 PA 17257 PA Sworn to or affirmed and subscribed before me this day of Notary Public My Commission Expires: (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission) NOTE: Renunciations executed outside the Office of Register of Wills are required in some counties to be notarized. RW-3 REVOCATION OF LETTERS IN RE: NICHOLAS F. RAUBER DECEASED REGISTER OF WILLS CUMBERLAND COUNTY PENNSYLVANIA ESTATE NO: 21-02-0880 ORDER OF THE REGISTER OF WILLS TO REVOKE LETTERS OF ADMINISTRATION AND NOW, this 3,d day of March 2003, I, Donna M. Otto, 1" Deputy, Register of Wills in and for the County of Cumberland, do hereby revoke Letters of Administration issued to Evelyn P. Rauber on October 1",2002. The said, Evelyn P. Rauber died on January 04,2003. New letters of Administration D.B.N. are hereby issued to Pemlelope Sommerville, sister, with all brothers And sisters renouncing in favor ofPelUlelope Sommerville DOlma M. Otto, 1 st Deputy Register of Wills Cumberland County Courthouse Carlisle, PA 17013 " WWR#02862l51 FORM 93-0.C. DIVISION IN THE COURT OF COMMON PLEAS of CUMBERLAND COUNTY, PENNSYL VANIA ORPHANS' COURT DIVISION INRE: ESTATE OF No.21-2002880 of Nicholas F. Rauber Deceased Deficiency balance on an installment loan Ford Motor Credit Company Account No. 48063000000028677387 CLAIM To the Clerk of Orphans' Court Division: Index and make proper entry in your official records of the claim ofFord Motor Credit Company c/o Weltman. Weinberg & Reis Co.. L.P.A.. 323 West Lakeside Avenue. Suite #200. Cleveland. Ohio 44113-1099 (Claimant) in the amount of$9.434.79 against the estate of the above named decedent. This claim is filed under Section 3532 (b) (2) oflhe Probate, Estates and Fiduciaries Code. The said decedent, who resided at 241 Three Square Hollow Newburgh. P A 17240 (Address) , died on September 19 2002. Written notice of this claim was given to Penelooe Summerville. Executrix. 126 West Byrd Street Shippensburg. PA 17257 on April 15 (Personal representative, if any, or counsel) 2003. ~' L ( ,~ t- o (Claimant) DeJuan L. Wilson, Agent for the Claimant c/o Weltman, Weinberg, & Reis Co., L.P.A. 323 W. Lakeside Ave., Suite200 Cleveland. Ohio 44113 (Claimant's Address) . WELTMAN, WEINBERG & REIS Co., LP.A. ATTORNEYS AT LAW 323 W. Lakeside Avenue, Suite 200 Cleveland, Ohio 44113-1099 216.685.1000 www.weltman.com COLUMBUS 6]4.228.7272 CINCINNATI 513.723.2200 PITTSBURGH 412.434.7955 DETROIT 248.362.6100 April 15, 2003 Register OfWi11s One Courthouse Square Carlisle, P A 170 I 3 Re: Estate of Nicholas F. Rauber Case No. 21-2002880 Our Clieu!: Ford Motor Credit Company Account No. 48063000000028677387 Balance Due: $9,434.79 Our File No. 02862151 Dear Clerk of Courts: This law firm represents Ford Motor Credit Company in cOllllection with its claim which we wish to file on OUf client's behalf into the estate of Nicholas F. Rauber, deceased. Enclosed is our check in the amount of $5.00 which we understand is the filing fee for this claim. Our client's claim is based upon its account number 48063000000028677387 in the amount of $9,434.79. Included with this letter is the claim form which we wish to present to this court and which we are forwarding to the attorney and/or fiduciary of this estate. It would be appreciated if all correspondence and disbursements with respect to this matter be forwarded to OUI office and to the attention of the undersigned. Additionally, it would be appreciated if any notices of any hearings also be forwarded to the undersigned. Thank you for your cooperation in this matter. ve71J.y y y rs, " fi,A;! DI n ~ Legal Assistant (216) 685-1030 I-I- DEJ:atd Enclosures cc: Penelope Sununerville, Executrix H. Aothony Adams, Esquire " U Register of Wills of Cumberland County, Pennsylvania CERTIFICATION OF NOTICE UNDER RULE 5.61al Name of Decedent: Nicholas F. Rauber Date of Death 9/19/02 Will No. 056460429 Admin. No. 2J - dOG;:} ~6e) 0 To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphan's Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on 3/6103 .i'!ame Address Estate of Evelyn P. Rauber c/o Ben Esh Executor 10030 Otterbein Church Road Newburo Pa 17240 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: Date 3/6/03 . i'\ ~""""''''P' ~ '.1 L ' :>l-.- Signature Name: H. Anthonv Adams Address: 49 West Oranoe Street: Suite 3 Shiooensburo Pa 17257 Telephone(717) - 532- 327 Capacity: x Personal Representative Counsel for Personal Representative . c COURT OF COMMON PLEAS OF CUMBERLAND COUNTY ORPHANS' COURT DIVISION ESTATE OF: NICHOLAS RAUBER SOCIAL SECURITY NUMBER 056-46-0429, Deceased 09-19-02 NO. 21-02-880 OUR ACCOUNT NUMBER 4479-4103-4 I 90-19Il Notice of claim by" PROVIDIAN NATIONAL BANK file pursuant to Section 3532(b) (2), of the PEF Code. To the Clerk of the Orphan's Court: Enter the claim of PROVIDIAN NATIONAL BANK in the amount of $839.68, against the above entitled estate. The decedent, who resided at 241 THREE SOUARE HOLLOW RD (street address) , died on 09-19-07 (date) EVELYN RAUBER P/R . Written notice of said claim was given to (personal representative, or hiS counSel) if know to claimant, at 241 THREE SQUARE HOLLOW RD., NEWBURG PA 17240 on O'Cro 8 lfJOJ (address) (date) ~~~~ STAN TUCKER,PROBATE MANAGER ITS DULY AUTHORIZED REPRESENTATIVE ,Claimant N/A PROVIDIAN NATIONAL BANK P. O. BOX 24244 LOUISVILLE, KY 40224-0244 ~ ~~';~ ~~3 ~~~/~7 'Jotary Public, SIli8 at tage. KY .1y COInInlUion.. Mar, 24. 2004 Claimant's counsel (address) I ICAH KEY 4479410341901911 COLLECTION ACCOUNT HISTORY LANG ENU STAT CO DC 05/03/00 STM 040 BOC BAL HIGH BAL DUE FP PRM 2 CY PMT 2 CY PUR 2 CY CAS NAME 2 2 NICHOLAS F RAUBER EXP OS/2004 OPEN 863.53 863.53 1,452.00 114.05 .00 .00 .00 .00 CRD CUR BAL PRIN BAL LM PD OL PRV CY PMT 0 PRV CY PUR 0 PRV CY CAS 0 CPC MDO MIDDLE CURRENT QUE PREVIOUS QUE LST CORR ID ORGANIC PRCNPF 08/25/03 00/00/00 00/00/00 1 000000000 4 0000000 2 000000000 5 6419K1 3 00000000 6 7 8 9 o o o NXT WK LST WK LTD LT 00/00/00 00/00/00 o CLIENT 6012 PROV 000001 CYC 28 AGNCY 1PRCNP CRDC NPY NOY PD08 BRP 0 863.53 1,151.51 863.53 .00 .00 .00 .00 .00 09/24/03 00/00/00 00/00/00 LST RS LST OP 140085 LST AC MS LTD NT 0 16 17 18 0 19 40 20 0 21 Y 22 23 24 0 F1~HELP F3~EXIT F5~EVT F6~WORK F10~CORR F11~PDTRK F14~PPMT PA1~KEYS F 10 11 3052 12 13 14 3 15 ***CURRENT BALANCE ON THE ACCOUNT $863.53*** CREDIT PROTECTION $23.85 ***CLAIM BALANCE AGAINST THE ESTATE NOW EQUALS $839.68*** -> IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF NICHOLAS F RAUBER , Deceased No. 21-02-880 of 2001 To the Clerk of the Orphans' Court: Enter the claim of CAPITAL ONE Accl. 4388641811915003 In the amount of $1,052.97 , against the above entitled estate. The decedent, who resided at 241 THREE SQUARE HOLLOW RD NEWBURG PA 17240 died on 09/19/2002 . Written notice of said claim was given to EVELYN P RAUBER ,if known to claimant, at (Personal Representative or counsel) 241 THREE SQ HOLLOW RD, NEWBURG, PA 17240 on December 5, 2002 (Date) Address: 5330 East Main Street, Suite 200 Columbus, Ohio 43213 !A-- ~t's Counsel Address 0 r- ;!:: "1l )> s: m ~ (J) :r: 0 )> g 0 0 z z ;0 --i !1:1 m ciJ m 0 0 (J) ;0 ~ (J) z 0 "1l :;; )> " :r: III ~ 01 s: Z )> "0 ClO W m Z "2- --J W 0 --J (J) ~. ~ 0 0 :r: --J m )> 0 0 rr ~ s: "1l r- 0 ~ .j>. ~ C') )> C ;!:: r- (J) ;0 W Z )> " --i Z --J r- 0 w (J) 0 s: ?; Z --i <0 _--i Z 9 )> ~ m c I\J OJ "1l m ~ "1l m , r- ;0 0 I\J I\J 0 0 0 , )> 0 m ClO ClO OJ 0 0 0 r- m m 0 )> r- (J) c m s: 0 OJ C (J) 0 :r: .j>. w I\J ~ W STA Tl!: OF VIRGINIA ) ) ss: ) INDEPENDENT CITY LThfiTED POWT.R OF ATTORNEY Now comes Mike Stev~n~, a representative of Capital One, and hereby appoints Estate Information Services, Inc. as its attorney-in-fact for the purpose of executing, filing, amending, and/or withdrawing estate claims with probate courts and/or executors throughout the United States on behalf of Capital One. fie it known that this Limited Power of Attorney will be abolished upon the tennination of the contractual agreement between Estate Information Services, Inc. and Capital One. DATED this I'd.-\\.. daYOf~"'b./ , 2001. CAPITAL ONE ~/ ny: A~,,~ I D" '--= ts: Irector Printed Name: Michael Stevens Sworn to an subscirbed before me this.-l~ day of September, 2001, a Notary Public in and for the State of Virginia. f'\)')(('jI. ~llcxn6 JRD/Junc30,1992/17858 In Re: Estate of NICHOLAS F RAUBER Late of HOPEWELL TOWNSHIP ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA Estate No.: 21-02-880 NO. 21-2002-880 NOTICE OF FAILURE TO FILE CERTIFICATION AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 5.6(e), SUPREME COURT ORPHANS' COURT RULE Personal Representative: EVELYN P RAUBER Counsel for Personal Representative: H. ANTHONY ADAMS Date of Grant of Original Letters: 10-01-2002 Date of Delinquency Notice: 01-11-2003 The undersigned, Mary C. Lewis, Register of Wills, in accordance with Rule 5.6, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its certification required by Rule 5.6(e), Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 5.6(e), Supreme Court Orphans' Court Rules, was given by the Register of Wills on JANUARY 11, 2003, and that the ten (10) day notice to file the certification has expired. Accordingly, in accordance with Rule 5.6(e) the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 02-06-2003 ~\cl,~P'~'~ . . ,Register of i s Distribution: Personal Representative Counsel for Personal Representative Estate File A hearing is scheduled for ',l~ ',/, ;)I1J J at r'J 3J In Courtroom No.3. If the Certification of Notice is filed prior to the hearing date, the hearing will automatically be ,&~,l1,d. ~ GeorgiE. 0 fe , P. . /")-/C)-</- /D \(. BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG. PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX H ANTHONY ADAMS STE 3 49 W ORANGE ST SHIPPENSBURG DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-29-2003 RAUBER 09-19-2002 21 02-0880 CUMBERLAND 101 *' RfY-1547 EKAFP Ul-on NICHOLAS F Allount Rellitted PA 17257 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ Rif,,=is4rElCAFP--fiiFo3Y-tiii'ficE--OF-YNHEififiiN"c,rTAiC-A-PPRA-isEi'-itiT~--ALi-oWAi.fcE-CrR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF RAUBER NICHOLAS F FILE NO. 21 02-0880 ACN 101 DATE 12-29-2003 TAX RETURN WAS: (X I ACCEPTED AS FILED CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. stocks and Bonds {Schedule BJ 3. Closely Held stock/Partnership Interest (Schedule C) 4. Mortgages/Notes RecBivable (Schedule D) S. Cash/Bank Deposits/Misc. Personal Property {Schedule EJ 6. Jointly Owned Property (Schedule F) 7. Transfers {Schedule GJ 8. Total Assets III (21 (31 (41 (51 161 (7) .00 .00 .00 .00 5.005.00 .00 .00 (81 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (91 (lOI 21,134.29 10.846.95 (111 1121 (l31 1141 NOTE: If an assessment was issued previOUSly, lines reflect figures that include the total of ALL ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate 16. Amount of Line 14 taxable at 17. Amount of Line 14 at Sibling 18. Amount of Line 14 taxable at 19. Principal Tax Due NOTE: To insure proper credit to your account) submit the upper portion of this form with your tax payment. 5,005.00 31.981 ?4 26,976.24- .00 26,976.24- 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. TAX CR"DITS: oAtE" NUI1BER ,+} AI10UNT PAID INTEREST/PEN PAID I-I TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 .OOXOO= .00 X 045 = .00XI2= .00 X 15 = 1191= Lineal/Class A rate rate Collateral/Class 8 rate (151 1161 1171 (181 * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .00 .00 .00 .00 .00 IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORI1 FOR INSTRUCTIONS. I REV-!~00EX+(6-00) r)-/9.Lj'-/C .' COMMONWEALTH OF , PENNSYLVANIA , DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONl Y ~ FILE NUMBER c2 L--L)~ __BtLQ COUNTY CODE YEAR NUMBER I- Z LLJ Cl LLJ U LLJ Cl '" I- ):;:$CI) ,,"'''' ",c." ,,00 ,,"'oJ ~o.JD 0. " DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Rauber Nicholas DATE OF DEATH (MM-DD-Year) SOCIAL SECURITY NUMBER F. 056-46-0429 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS DATE OF BIRTH (MM-DD-Year) 09/19/2002 12/05/1954 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) I- Z '" o z o 0. UI '" '" '" o " TELEPHONE NUMBER 717-532-3270 Rauber SOCIAL SECURITY NUMBER now deceased [X] 1. Original Return o 4. limited Estate 06. Decedent Died Testate (Attach copy of Will) o 9. Litigation Proceeds Received 204 3 0 o 2. Supplemental Return D 4a. Future Interest Compromise (date 01 death after 12-12-82) o 7. Decedent Maintained a Living Trust (Attach copy olTrus!) o 10. Spousal Poverty Creclit (dale 01 d6ath between 12-31-91 and 1.1-95) 03. Remainder Return ldateofcleathpriorIo12-13.82j o 5. Federal Estate Tax Return Required Q.. 8. T ota! Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Al\achSchOI THIS SECTION MUST BE COMPLETE()lA:LLCORRE$i>OI'lPENce~NI!)il!:oNFIDeNTIAL tAX'INFORi\ll\T1QNSHl'll.llD'aEDJRECTED TO: NAME COMPLETE MAILING ADDRESS H. Anthon Adams 49 West Orange Street F!RM NAME {If Applicable} Suite 3 PA 17257 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total lines 1-7) 9, Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mor+.gage liabilities; & liens (Schedu!e!) (10) 11. Total Deductions (Iolal Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) z o i= <( ...J :J l- ii: <( U LLJ II:: 1. Real Estale (Schedule A) 2. Slocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable {Schedule Dj 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) (6) o Separate Billing Requested (1) (2) (3) (4) (5) OFFICIAL USE ONLY 5,00500 (8) 5,005.00 21,134.29 10,846.95 (11) (12) (13) 31,981.24 -26,976.24 14. Net Value Subject to Tax (line 12 minus line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLiCABLE RATES (14) -26,97624 z o I- <( I- :J c.. ::a o u S 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Une 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due X_(15) X _(16) X .12 (17) X .15 (18) (19) 20. 0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < D d , C ece ent s omplete Address: STREET ADDRESS 241 Three Square Hollow Road CITY I STATE I ZIP Newburg PA 17241 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) (1) 2. Credits/Payments A. Spousal Poverty Credil B. Prior Payments C. Discount Total Credits (A + B + C) (2) 3. InteresVPenalty if applicable D. Interest E. Penalty TotallnteresVPenalty (D + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT 0.00 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or Income of the property transferred; .................................................................... ...... D [:is] b. retain the right to designate who shall use the property transferred or Its income; ................................. ...... D IiJ c retain a reversionary interest; or .............................................................................................. ....... D 6ZI d. receive the promise for life of either payments, benefits or care? ............................................. ....... D 5{J 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?....................................................................... ....... D !:2? 3. Did decedent own an "in trustlor" or payable upon death bank account orsecurity at his or her death? .... ......... D 5lI 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................ ............................... .............................................. D ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare thai I have examined this return, including accompaI1ying schedules and statements, arld 10 the best of my knowledge and beliel, il is true, correct and complete Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge, TURE OF PERSON RESPO ISLE F R FILING RETURN DA}E ,/ f-"T'" d-3 c:,4e-\-J For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 39116 (a) (1.1) (Ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The lax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent. an adoptive parent, or a stepparent of Ihe child is 0% [72 P.S. 39116(a)(1.211. The tax rate imposed on the net value of transfers to or for Ihe use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 PS. 39116(1.2) [72 PS. 39116(a)(ll1. The tax rate imposed on the net value of transfers to orlor the use of the decedent's siblings is 12% [72 PS. 39116(a)(I.311. A sibling is defined, under Seclion 9102, as an individual who has alleast one parent in common with the decedent, whether by blood or adoption. R~:~6EX"'''). COMMONWEALTH OF PENNSYLVANIA INHERiTANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Rauber FilE NUMBER Nicholas F. Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned With the right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION Individual personal property (saw blades, lighter, croquet set, model airplane, electric wire deacon's bench, china cabinet, country mirror VALUE AT DA TE OF DEATH 305.00 2. 1999 Ford Van 3,00000 3. 1985 Dodge Van 350.00 4. 1995 Ford Mini Van 425.00 5. Utility Trailer 800.00 6. Motorcycle Trailer 125.00 TOTAL (Also enler on line 5, Recapitulation) $ (If more space is needed, insert additional sheels of the same size) 5,005.00 REV-i5'lEX.(1.97)_~_ ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Rauber Nicholas F. Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Fogelsonger-Briker Funeral Home 5,469.00 B. ADMINISTRATIVE COSTS 1. Personal Representative's Commissions Name of Personal Representative (s) Pennelope Sommerville 250.00 Social Security Number(s) I EIN Numberof Personal Representative(s} Street Address 126 W. Burd Street City Shippensbur~ State PA Zip 17257 Yea~s) Commission Paid: 2003 2. Attorney Fees H. Anthony Adams 500.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 3,500.00 Claimant Evelyn P. Rauber Street Address 241 Three Square Hollow Road City Newbur~ State PA Zip 17240 Relationship of Claimant to Decedent Spouse 4. Probate Fees Shorts 12.00 Petition for 36.00 5. Accountant's Fees 6. Tax Return Prepare~s Fees 7. Carlisle Regional Medical Center (expense of Last illness) 50.55 8. Carlisle Regional Medical Center (expense of Last illness) 1,586.25 9. Carlisle Regional Medical Center (expense of Last illness) 468.91 10. Nurse Anesthetists of Carlisle ( last illness) 710.12 11. Carlisle Emergency Physicians (last illness) 148.00 12. Masland and Associates 54.00 13. ProMed Services Inc. 505.00 14. Cumberland Valley EMS 505.00 15. Hartzell Eye MDS 85.00 16. Carlisle Regional Medical Center 1,090.00 17. Carlisle Regional Medical Center 5,39971 18. Carlisle Regional Medical Center 514.00 TOTAL (Also enter on line 9, Recapitulation) $ 21.13429 (If rnore space is needed, Insert additional sheets of the sarne size) R",;'''''.'''''. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS ESTATE OF Rauber FILE NUMBER Nicholas F. Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1,05297 1. Capitol One C/O Estate Information Services Inc. 2. Ford Motor Credit Corporation P.O. Box 3076 Columbia, MD Direct Merchants Bank 9,434.79 3. 359.19 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 10846.95 REV~1513EX'[. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER Rauber Nichnl"'< F. RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE 1. TAXABLE DISTRIBUTIONS linclude ouloghlspousal distribulions, and lransfers under Sec. 9116(a) (1.2)] 1. Evenlyn P. Rauber wife 100% 241 Three Square Hollow Road Newburg, PA 17240 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-15DD COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-15DD COVER SHEET $ (If more space is needed, insert addilional sheets of the same size) Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 8/03/2004 ADAMS H ANTHONY 49 W ORANGE ST SUITE 3 SHIPPENSBURG, PA 17257 RE: Estate of RAUBER NICHOLAS F File Number: 2002-00880 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS, COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent,s death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 9/19/2004 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, GLENDA FARNER STRASB]~UGH REGISTER OF WILLS cc: File Personal Representative(s) Judge STATUS REPORT UNDER RULE 6.12 Name of Decedent: k~i C._.~Vx(~ [~ c~ '~[, ~Cx.,_..h ~ r~ (- Date of Death: ~_ ~,O~_ .~w.kx,3_ ..~x- ~q~ ~O(~ \ WillNo.: Admin. No.: oD (~ Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State~w4bether administration of the estate is complete: Yes~ No ~ 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: Did the personal~.p.r, psentative file final account with the Court? a. Yes_ NoI~[ a /x b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal rk~lj}resentative state an account informally to the parties in interest? Yes,J~ No c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this repqrt. Date: Signature em Name C'~ ~:,.~ .. , ~J~ = Telephone No. Capacity: \[~ P?rsonal Representative t~Counsel for personal representative